Beverly Jackson
Community Based Residential Treatment Facility, Mental Illness
About Beverly Jackson
Beverly Jackson is a female healthcare professional specializing in Community Based Residential Treatment Facility, Mental Illness, registered under National Provider Identifier (NPI) number 1871902247.
Their primary practice is located at 1100 W 6TH AVE, Gary, Indiana 46402. Patients can reach the office at (219) 885-4264. Beverly Jackson has been NPI-registered since 2014.
Doctor Details
Identity & Credentials
- NPI Number
- 1871902247
- Entity Type
- Individual
- First Name
- Beverly
- Last Name
- Jackson
- Gender
- Female
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 1100 W 6TH AVE
- City
- Gary
- State
- Indiana
- ZIP
- 46402-1711
- Country
- United States
- Phone
- (219) 885-4264
Specialty & Taxonomy
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Classification
- Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1100 W 6TH AVE
- City
- GARY
- State
- IN
- ZIP
- 464021711
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Beverly Jackson's NPI number?
What does Beverly Jackson specialize in?
Where is Beverly Jackson located?
Does Beverly Jackson accept Medicare?
Does Beverly Jackson offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Beverly Jackson is 1871902247.